Relationships between psychosocial factors during pregnancy and preterm birth in Puerto Rico

Autor: John D. Meeker, Rafael E Rios-McConnell, Ye Shen, Carmen M. Vélez-Vega, Akram N. Alshawabkeh, Phil Brown, Kelly K. Ferguson, Stephanie M. Eick, Andrea Swartzendruber, José F. Cordero
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Epidemiology
Maternal Health
Social Sciences
Logistic regression
Geographical locations
0302 clinical medicine
Pregnancy
Residence Characteristics
Risk Factors
Medicine and Health Sciences
Psychology
Medicine
030212 general & internal medicine
Path analysis (statistics)
education.field_of_study
030219 obstetrics & reproductive medicine
Multidisciplinary
Geography
Depression
Pregnancy Outcome
Obstetrics and Gynecology
3. Good health
Cohort
Neighborhoods
Premature Birth
Female
Psychosocial
Infant
Premature
Research Article
Clinical psychology
Adult
Science
Population
Psychological Stress
Preterm Birth
Human Geography
03 medical and health sciences
Social support
Mental Health and Psychiatry
Humans
education
Caribbean
Psychological and Psychosocial Issues
Mood Disorders
business.industry
Puerto Rico
Infant
Newborn
Biology and Life Sciences
Social Support
medicine.disease
Health Care
Pregnancy Complications
Medical Risk Factors
North America
Birth
Earth Sciences
Women's Health
Pregnant Women
People and places
business
Neighborhood perceptions
Stress
Psychological
Zdroj: PLoS ONE, Vol 15, Iss 1, p e0227976 (2020)
PLoS ONE
ISSN: 1932-6203
Popis: Psychosocial stress during pregnancy has been associated with adverse pregnancy outcomes including preterm birth (PTB). This has not been studied in Puerto Rico, an area with high PTB rates. Our objective was to develop a conceptual model describing the interrelationships between measures of psychosocial stress and depression, a result of stress, among pregnant women in Puerto Rico and to examine their associations with PTB. We used data from the Puerto Rico Testsite for Exploring Contamination Threats pregnancy cohort (PROTECT, N = 1,047) to examine associations among depression and different continuous measures of psychosocial stress using path analysis. Psychosocial stress during pregnancy was assessed using validated measures of perceived stress, negative life experiences, neighborhood perceptions and social support. Logistic regression was used to examine associations between psychosocial stress measures in tertiles and PTB. Perceived stress, negative life experiences, and neighborhood perceptions influenced depression through multiple pathways. Our model indicated that perceived stress had the strongest direct effect on depression, where one standard deviation (SD) increase in perceived stress was associated with a 57% SD increase in depression. Negative life experiences were directly but also indirectly, through perceived stress, associated with depression. Finally, neighborhood perceptions directly influenced negative life experiences and perceived stress and consequently had an indirect effect on depression. Psychosocial stress was not associated with PTB across any of the measures examined. Our study examined interrelationships between multiple measures of psychosocial stress and depression among a pregnant Puerto Rican population and identified negative neighborhood perceptions as important upstream factors leading to depression. Our findings highlight the complex relationship between psychosocial stress measures and indicate that psychosocial stress and depression, assessed using 5 different scales, were not associated with PTB. Future research should investigate other environmental and behavioral risk factors contributing to higher rates of PTB in this population.
Databáze: OpenAIRE
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